title: Should we address the course as well as the origin of a translocated anomalous coronary artery?
abstract: The identification of an anomalous left coronary artery arising from the pulmonary artery demands urgent surgical attention. Myocardial infarction and ongoing myocardial ischemia are a direct consequence with subsequent left ventricular dysfunction. A modification using a combination of autogenous aortic and pulmonary artery flaps is described, which addresses both the origin and the course of the anomalous coronary artery--until now, a feature not generally considered necessary of repairs involving anomalous left coronary artery arising from the left facing pulmonary sinus.
authors.affiliation: Division of Cardiovascular Surgery, The Hospital for Sick Children and The University of Toronto, Ontario, Canada. michael.black@mailhub.sickkids.on.ca
authors.forename: M D
authors.initials: MD
authors.lastname: Black
authors.forename: B W
authors.initials: BW
authors.lastname: McCrindle
authors.forename: R M
authors.initials: RM
authors.lastname: Freedom
mesh_terms: D003330:Coronary Vessel Anomalies / Q000601:surgery*; D006801:Humans; D007223:Infant; D008722:Methods; D011651:Pulmonary Artery / Q000002:abnormalities; D013524:Surgical Flaps